Pain Knowledge and Attitudes Among Nurses in Cancer Care in Norway
The purpose of this study was to survey knowledge on, and attitudes to, pain and pain management among a cohort of Norwegian Nurses in cancer care, and to explore whether there is any association between various demographic variables and knowledge level. This is a web-based survey and nurses were recruited from the Forum for Cancer Nursing. Nurses completed the questionnaire “Nurses’ Knowledge and Attitudes Survey Regarding Pain (NKAS)”. Univariate and multivariate linear regression analysis were used to evaluate the association between knowledge and attitudes and demographic variables. Nurses from all over Norway answered. The majority were women and most had education above bachelor level. Mean NKAS total score was 31 points (75%). Significant associations were found between NKAS total score and pain management course (p = 0.01) and workplace (p = 0.04). Nurses in cancer care in Norway have relatively good pain knowledge. The potential for improvement is the greatest with regard to pharmacology and nurses’ attitudes to how patients express pain. Our findings suggest that an extensive pain management course with patient histories may result in more theoretical knowledge being applied to the patients. In a time with large migration among nurses, our findings indicate that pain management courses should be aware of cultural differences in the educational training.
KeywordsPain Oncology Nurses attitudes Nurses knowledge Survey questionnaire
- 2.World Health Organisation (2017) WHO’s cancer pain ladder for adults. http://www.who.int/cancer/palliative/painladder/en/. Accessed 7 March 2018
- 14.Patiraki EI, Papathanassoglou EDE, Tafas C, Akarepi V, Katsaragakis SG, Kampitsi A, Lemonidou C (2006) A randomized controlled trial of an educational intervention on Hellenic nursing staff’s knowledge and attitudes on cancer pain management. Eur J Oncol Nurs 10(5):337–352CrossRefPubMedGoogle Scholar
- 19.Darawad M, Alnajar MK, Abdalrahim MS, El-Aqoul AM (2017) Cancer pain management at oncology units: comparing knowledge, attitudes and perceived barriers between physicians and nurses. J Cancer Educ. https://doi.org/10.1007/s13187-017-1314-4.
- 20.Ferrell B, McCaffery M (2014) Knowledge and attitudes survey regarding pain 2014. http://prc.coh.org/Knowldege%20%20&%20Attitude%20Survey%207-14%20(1).pdf. Accessed 7 March 2018
- 23.IBM Corp, Armonk N (2016) IBM SPSS statistics for Windows. SPSS Inc., ChicagoGoogle Scholar
- 31.Ministry of Health and Care Services (2013) Sammen - mot kreft. Nasjonal kreftstrategi 2013–2017. https://www.regjeringen.no/no/dokumenter/sammen---mot-kreft/id728818/. Accessed 7 March 2018
- 32.Norwegian Nurses Organisation (2016) Fremtidens spesialsykepleiere. Krav til spesialiststruktur, utdanningskvalitet og dimensjonering https://wwwnsfno/Content/2976737/cache=1465980149000/Fremtidens_spesialsykepleier_pdfpdf Accessed 7 March 2018